Evıdence-Based Practıces In Pedıatrıc Pallıatıve Care: A Systematıc Revıew

Öz

The purpose of this systematic review is to review published studies on evidence-based practices used in pediatric palliative care and to systematically examine the data obtained from these studies. Google Scholar, Pubmed, Science Direct, Cochrane, EBSCOhost, Ovid, Tübitak Ulakbim, Cinahl databases were searched with a year limit of 1 January 2017- 31 October 2022. This systematic review was prepared and presented according to the PRISMA checklist. Since the studies examined were included in the sample from the databases open to access, no ethics committee approval was required. Six studies, three randomized controlled and five quasi-experimental, were included in the systematic review. In the studies included in the review; Families and children who received palliative care training were more satisfied, children who received home-based palliative care had better symptom control, children who received aromatherapy had improvement in their pain and nausea symptoms, positive feedback in their mood, and children who received reiki received positive feedback in terms of applicability. It was determined that symptom management was better and symptom control was more positive in children who received massage therapy. These evidence-based practices in pediatric palliative care have resulted in positive results but are not sufficient. The number of evidence-based practices for pediatric palliative care should be increased with studies. Not only in the light of the studies that have been done, but also other alternative applications should be supported by studies.

Anahtar Kelimeler

• Evidence-based practice
• palliative care
• Pediatrics

Pediatrik Palyatif Bakımda Kanıta Dayalı Uygulamalar: Sistematik Bir Derleme

Öz

Bu sistematik derlemenin amacı, pediatrik palyatif bakımda kullanılan kanıta dayalı uygulamalar ile ilgili yayımlanmış çalışmaların gözden geçirilerek elde edilen verilerin sistematik bir şekilde incelenmesidir. Google Scholar, Pubmed, Science Direct, Cochrane, EBSCOhost, Ovid, Tübitak Ulakbim, Cinahl veri tabanları 1 Ocak 2017- 31 Ekim 2022 yıl sınırlaması yapılarak taranmıştır. Bu sistematik derleme PRISMA akış şemasına uygun olarak hazırlanmıştır. İncelenen çalışmalar erişime açık veri tabanlarından örnekleme dâhil edildiğinden herhangi bir etik kurul iznine gerek duyulmamıştır. Sistematik derlemeye üçü randomize kontrollü ve beşi yarı deneysel olan toplamda altı çalışma dâhil edilmiştir. Derleme kapsamına alınan çalışmalarda; palyatif bakım eğitimi verilen ailelerin ve çocukların daha memnun kaldıkları, ev tabanlı palyatif bakım verilen çocukların daha iyi semptom kontrolü yaptıkları, aromaterapi uygulanan çocukların ağrı ve bulantı semptomlarında iyileşme, ruh hallerinde olumlu geri bildirim olduğu, reiki uygulanan çocuklardan da yine uygulanabilirlik açısından olumlu geri bildirim alındığı, semptom yönetiminin daha iyi olduğu, masaj terapi uygulanan çocuklarda ise çocukların semptom kontrolünün daha olumlu düzeyde olduğu saptanmıştır. Pediatrik palyatif bakımda yapılan bu kanıta dayalı uygulamalar olumlu sonuçlanmıştır fakat yeterli değildir. Pediatrik palyatif bakımda kanıta dayalı uygulamaların sayısı yapılan çalışmalar ile artırılmalıdır. Sadece yapılmış olan çalışmalar ışığında değil alternatif başka uygulamalar da çalışmalar ile desteklenmelidir.

Anahtar Kelimeler

• Kanıta dayalı uygulama
• Palyatif bakım
• Pediatri
• Evidence-based practice
• Pediatrics

Kaynakça

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